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Imaging of the hip in juvenile idiopathic arthritis

  • Minisymposium: Juvenile Idiopathic Arthritis
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Abstract

Hip involvement is common and estimated to occur in approximately 35–63% of children with juvenile idiopathic arthritis (JIA). It is more prevalent in the aggressive systemic subtypes, with irreversible changes occurring as early as within 5 years of diagnosis. Whilst clinical parameters and joint examination can be useful for assessing disease severity, subclinical disease is known to exist and delayed treatment may herald a lifetime of disability and pain. Early recognition of JIA changes is therefore crucial in determining treatment options. Validated scoring systems in the radiologic assessment of the hip for clinical drug trials may inform treatment outcomes, although robust tools for analysis are still lacking. This review article details the modalities utilised for imaging the hip in children with JIA with particular efforts focused upon reliability and validity in their assessment of joint disease. We conclude with a short literature review on the potential future techniques being developed for hip joint imaging in JIA.

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Authors and Affiliations

  1. Department of Clinical Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK

    Susan Cheng Shelmerdine

  2. Department of Radiology, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

    Pier Luigi Di Paolo & Laura Tanturri de Horatio

  3. Istituto Giannina Gaslini, Pediatria II, Reumatologia, Largo Gaslini, Genoa, 5, 16147, Italy

    Clara Malattia

  4. Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DINOGMI), University of Genova, Genoa, Italy

    Clara Malattia & Silvia Magni-Manzoni

  5. Pediatric Rheumatology Unit, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

    Silvia Magni-Manzoni

  6. Department of Radiology, Haukeland University Hospital, Bergen, Norway

    Karen Rosendahl

  7. Department of Clinical Medicine, K1, University of Bergen, Bergen, Norway

    Karen Rosendahl

Authors
  1. Susan Cheng Shelmerdine
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  2. Pier Luigi Di Paolo
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  3. Laura Tanturri de Horatio
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  4. Clara Malattia
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  5. Silvia Magni-Manzoni
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  6. Karen Rosendahl
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Corresponding author

Correspondence to Susan Cheng Shelmerdine.

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Shelmerdine, S.C., Di Paolo, P.L., Tanturri de Horatio, L. et al. Imaging of the hip in juvenile idiopathic arthritis. Pediatr Radiol 48, 811–817 (2018). https://doi.org/10.1007/s00247-017-4022-7

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  • DOI: https://doi.org/10.1007/s00247-017-4022-7

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